MAXICARE PRIMA Outpatient Unbundled Product That Has No Age
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MAXICARE PRIMA Outpatient unbundled product that has no age eligibility and application form requirement. The product offers unlimited outpatient consultation and laboratory procedures with additional emergency coverage of up to P20,000. Access will be through Maxicare’s Primary Care Center and MyHealth Clinics nationwide. Prima Gold VARIANTS Php 12, 999 SRP *Prices may be changed at any time without further notice Maximum Benefit Limit N/A Age Qualification 60 years old and above Benefit Description - Unlimited outpatient consultations with Maxicare Primary Care Center Physicians. - Pre- existing conditions are covered. - Coverage for outpatient laboratory and diagnostic procedure requested by Maxicare Primary Care Center physicians e.g. Laboratories (CBC, Urinalysis, Lipid Studies, Glucose, etc.) X-ray tests (Chest, Scoliotic, etc) or see last pages for the complete List of Laboratory & Diagnostic Procedures Additional Benefits -Up to P20,000 annual emergency room coverage for PRIMA GOLD, can be availed at any Maxicare affiliated hospital nationwide. -Avail of the following services for free once within one year in METRODENTAL CLINICS nationwide: o Mild Oral Prophylaxis (Cleaning) o Panoramic X-Ray (Full Mouth) o Dental Consult o Emergency relief of dental pain through medication o Cosmetic/Oral Rehab treatment planning o Dental nutrition and counselling o Dental Health Education o Preparation of dental certificates o Safekeeping of dental records as required by law and/or client 1 Enrollment Eligibility Maximum of One (1) card per member per year. Activation You can use the voucher or electronic card for consultation and laboratory within 24 hours from the registration period. For the emergency coverage of Prima Gold, activation is after 7 days from the date of registration. Expiration Voucher or reference number must be registered within 3 months from the date of purchase. Membership will expire within 0ne (1) year from the date of registration. Usage Multiple Use Transferable Coverage is non-transferable once registered. Network Access- Prima Gold Specializations covered Medical Dermatologist Ear-Nose-Throat (ENT) Internal Medicine (IM) Obstetrician-Gynecologist (OB-GYN) Ophthalmologist Prescribed laboratory and diagnostic procedures Network Access- Prima Gold PCC- W City Center, BGC PCC- Bridgetowne, Ortigas Pasig PCC- SM Clark Pampanga PCC- Ayala North Exchange Makati PCC- Cardinal Santos Medical Center x PCC- Centuria Medical Makati x PCC- Chinese General Hospital x PCC- Makati Medical Center x PCC- St. Lukes Medical Center, BGC x PCC- St. Lukes Medical Center, QC x PCC- The Medical City PCC x MyHealth Clinic Edsa Shangri la, Mandaluyong MyHealth Clinic Robinsons Mall, Manila MyHealth Clinic SM North EDSA, QC MyHealth Clinic Festival Mall, Alabang MyHealth Clinic Venice Grand Canal, Taguig City MyHealth Clinic Robinsons, Cybergate Cebu 2 COVERED LABORATORY AND DIAGNOSTIC PROCEDURE ABO and Rh Hepatitis B Envelope Ab AFB stain Hepatitis B Envelope Ag Albumin Hepatitis B Surface Ab Alkaline Phosphatase (ALP) Hepatitis B Surface Ag ALT (SGPT) Hepatitis C Ab Amphetamine HIV Ag/Ab 1&2 Amylase LDH AST (SGOT) LDL Cholesterol Barbiturates Lipase Benzodiazepines Lipid Studies Bilirubin – Direct Magnesium Bilirubin – Group Micral Test Bilirubin – Total Non-Fasting Lipid Profile Calcium Opiates Cannabinoids Pap smear Chloride Phencyclidine (PCP) Cholesterol Phosphorus Cocaine Potassium Complete Blood Count PSA – Total Creatinine (with EGFR) PT (INR) Shabu and Marijuana PTT (APTT) Ecstacy Sodium Fecalysis Syphilis Ab FT3 T3 FT4 T4 GGT Total Protein Glucose Triglycerides HbA1c (with eAG) TSH HDL Cholesterol Urea Hepatitis A IgM Uric Acid Hepatitis B Core IgM (Total) Urinalysis ULTRASOUND PROCEDURES WITH PREPARATION: WHOLE ABDOMEN – 8-10HRS FASTING, FULL BLADDER UPPER ABDOMEN – 8-10 HRS FASTING HEPATOBILIARY TREE – 6-8 FASTING HEPATOBILIARY TREE, PANCREAS (HBT-P) – FASTING 6-8 HRS LOWER ABDOMEN – FULL BLADDER KIDNEYS, URETERS, BLADDER (KUB) – FULL BLADDER ULTRASOUND PROCEDURES WITHOUT PREPARATION: THYROID LIVER KIDNEYS BREASTS APPENDIX PROSTATE UTERUS 3 ULTRASOUND PROCEDURES BY APPOINTMENT NECK INGUINAL/SCROTAL RECTAL * TRANSVAGINAL, PELVIC (pregnant) and ovary ultrasound procedures are not available as of the moment due to absence of OB-SONOLOGIST. X-RAY PROCEDURES AVAILABLE: SKULL PARANASAL SINUSES MANDIBLE CERVICAL SPINE THORACIC SPINE LUMBAR SPINE SACRUM COCCYX CHEST SHOULDER SCAPULA CLAVICLE HUMERUS/ UPPER ARM ELBOW FOREARM WRIST HAND FINGERS ABDOMEN PELVIS HIP JOINT FEMUR/UPPER LEG KNEE JOINT TIBIA & FIBULA/LOWER LEG ANKLE FOOT NEW PROCEDURES 2D ECHO is already available in BGC, Bridgetowne and Cebu. THREAD MILL STRESS TEST available in Bridgetowne and Cebu. 4.